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Paternity Leave Form (Philippines)

Paternity Leave Form (Philippines)

PATERNITY LEAVE APPLICATION FORM

Republic Act 8187 (Paternity Leave Act of 1996) | DOLE Labor Advisory No. 03-10

Company / Employer: [Company Name]

Date of Application: [Application Date]

EMPLOYEE INFORMATION

Employee Name: [Employee Name]

Employee ID: [Employee ID]

Department: [Department]

Position: [Position]

PATERNITY LEAVE DETAILS

Spouse Name: [Spouse Name]

PSA Marriage Certificate Reference: [Marriage Certificate No]

Delivery Number (1st–4th): [Delivery Number]

Expected / Actual Date of Delivery: [Delivery Date]

Paternity Leave Start Date: [Leave Start Date]

Paternity Leave End Date: [Leave End Date]

Transferred Maternity Leave Days Received from Spouse: [Transfer Days Received]

EMPLOYEE UNDERTAKING

I, [Employee Name], hereby apply for paternity leave under Republic Act 8187 (Paternity Leave Act of 1996). I certify that: (1) I am legally married to [Spouse Name], as evidenced by the attached PSA Marriage Certificate; (2) the delivery of my legitimate child represents the [Delivery Number] delivery of my lawfully wedded wife, within the first four deliveries covered by RA 8187; (3) the leave period begins within 60 days of the date of delivery; and (4) I understand that this leave is paid at my regular daily rate by [Company Name] and is not reimbursable by the SSS.

If I am also receiving transferred maternity leave credits from my spouse under Section 5 of the RA 11210 Implementing Rules and Regulations, I confirm that the notarized Deed of Transfer of Maternity Leave Credits is attached and that I have filed a separate leave application with HR for the transferred days.

APPROVAL

Immediate Supervisor: ___________________________ Date: _______________

HR Department: ______________________________ Date: _______________

Remarks: _____________________________________________________________

Employee

________________

Signature

HR Officer

________________

Signature

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a Paternity Leave Form (Philippines)?

A Paternity Leave Form in the Philippines records the details required for the process it supports, providing a clear written account that can be relied on.

The Paternity Leave Form documents the employee's qualification for the benefit — principally that he is legally married to the woman who gave birth, that the delivery falls within the first four pregnancies of the wife, and that the leave is availed within 60 days from the date of delivery. DOLE Labor Advisory No. 03-10 and DOLE-BWC Explanatory Bulletin confirm that the seven-day paternity leave is paid at the employee's regular daily rate and is charged to the employer, not to the SSS. This distinguishes paternity leave from maternity leave under RA 11210, where SSS reimbursement is available to the employer.

RA 8187 covers all married male employees in the private sector regardless of employment status — regular, probationary, project-based, or casual — provided they meet the qualifying conditions. Government employees are entitled to paternity leave under CSC Resolution No. 99-0539 and Section 21 of the Omnibus Rules on Leave under the Civil Service Commission. Under RA 11210 (Expanded Maternity Leave Law of 2019), the female worker may additionally transfer up to seven days of her maternity leave credits to the child's father, which is separate from and in addition to the seven-day paternity leave under RA 8187.

The Paternity Leave Form should be filed as early as possible — ideally before the expected delivery date — together with a copy of the marriage certificate issued by the Philippine Statistics Authority (PSA) and a medical certificate from the attending OB-GYN or physician confirming the expected date of delivery. Upon completion of the leave, the employer records the leave in the employee's 201 file and in the establishment's labor standards register maintained for DOLE inspection under Department Order No. 183-17.

The legal framework governing the Paternity Leave Form (Philippines) in Philippines draws on several key statutes and regulatory bodies. Under Philippine law, the Civil Code of the Philippines (Republic Act No. 386) governs contractual obligations. The Revised Corporation Code (Republic Act No. 11232) regulates corporate entities through the Securities and Exchange Commission (SEC). The Labor Code of the Philippines (Presidential Decree No. 442) and Department of Labor and Employment (DOLE) govern employment matters. The Data Privacy Act of 2012 (Republic Act No. 10173) and the National Privacy Commission (NPC) protect personal data. The Bureau of Internal Revenue (BIR) administers tax obligations under the National Internal Revenue Code. Parties executing a Paternity Leave Form (Philippines) in Philippines should confirm the document reflects current law, including any amendments enacted since the original drafting date. The Labor Code of the Philippines (PD 442) sets the foundational requirements.

When Do You Need a Paternity Leave Form (Philippines)?

A Paternity Leave Form is needed in the Philippines in the following situations.

A Paternity Leave Form is required when a married male employee's legitimate spouse is about to give birth and the employee wishes to avail of the seven days of paid paternity leave under RA 8187. The form must be submitted to HR before or on the date of delivery, as the leave must be availed within 60 days from the date of delivery.

A Paternity Leave Form is needed when the employee's spouse suffers a miscarriage, as DOLE Labor Advisory No. 03-10 clarifies that paternity leave under RA 8187 applies to deliveries including miscarriage, enabling the husband to be present to provide support during the spouse's recovery.

A Paternity Leave Form is required for each qualifying delivery up to the fourth pregnancy, as RA 8187 limits the paternity leave benefit to the first four deliveries of the legitimate wife. The form documents which delivery number is being availed to verify the statutory limit.

A Paternity Leave Form is needed when the employee also wishes to accept transferred maternity leave credits from his wife under Section 5 of the RA 11210 IRR, in which case a separate leave application for the transferred days must accompany the Paternity Leave Form, together with the notarized Deed of Transfer of Maternity Leave Credits executed by the wife.

A Paternity Leave Form is required when an employer conducts a DOLE compliance audit under Department Order No. 183-17, as paternity leave records must be available for inspection by DOLE Regional Office personnel.

Parties in Philippines should prepare a Paternity Leave Form (Philippines) proactively rather than waiting for a dispute to arise. Courts interpret agreements based on the written terms rather than oral representations. Under Philippine law, the Civil Code of the Philippines (Republic Act No. 386) governs contractual obligations. The Revised Corporation Code (Republic Act No. 11232) regulates corporate entities through the Securities and Exchange Commission (SEC). The Labor Code of the Philippines (Presidential Decree No. 442) and Department of Labor and Employment (DOLE) govern employment matters. The Data Privacy Act of 2012 (Republic Act No. 10173) and the National Privacy Commission (NPC) protect personal data. The Bureau of Internal Revenue (BIR) administers tax obligations under the National Internal Revenue Code. Where the transaction involves regulated activities, prior approval from the relevant authority may be required before execution.

What to Include in Your Paternity Leave Form (Philippines)

A valid Philippines Paternity Leave Form contains the following essential elements.

Employee Information: Full name, employee ID, department, position, and company name of the male employee applicant.

Spouse Information: Full legal name of the lawfully wedded wife, PSA marriage certificate reference, and expected or actual date of delivery.

Delivery Number: Declaration of which delivery (first through fourth) of the lawfully wedded wife is being availed, as RA 8187 limits the benefit to the first four pregnancies resulting in live birth or miscarriage.

Leave Dates: Start and end dates of the seven-day paternity leave in MM/DD/YYYY format, confirming the leave falls within 60 days from the date of delivery.

Supporting Documents: Reference to attached PSA Marriage Certificate and medical certificate from the attending physician or OB-GYN confirming the expected or actual delivery date.

Employer Certification: Acknowledgment by the employer that the employee qualifies for RA 8187 paternity leave and that the benefit will be paid at the employee's regular daily rate, charged to the employer.

HR and Supervisor Approval: Signature of the immediate supervisor approving the leave schedule, and HR certification of the leave recording in the employee's 201 file for DOLE compliance under Department Order No. 183-17.

Additional compliance elements for a Paternity Leave Form (Philippines) used in Philippines include: Under Philippine law, the Civil Code of the Philippines (Republic Act No. 386) governs contractual obligations. The Revised Corporation Code (Republic Act No. 11232) regulates corporate entities through the Securities and Exchange Commission (SEC). The Labor Code of the Philippines (Presidential Decree No. 442) and Department of Labor and Employment (DOLE) govern employment matters. The Data Privacy Act of 2012 (Republic Act No. 10173) and the National Privacy Commission (NPC) protect personal data. The Bureau of Internal Revenue (BIR) administers tax obligations under the National Internal Revenue Code. Forms-legal.com provides this template as a starting point for Philippines-compliant documentation.

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Paternity Leave Form (Philippines) (Philippines) [Legal document template]. Forms Legal. https://forms-legal.com/philippines/employment/hr-forms/paternity-leave-form-philippines

MLA

"Paternity Leave Form (Philippines) (Philippines)." Forms Legal, 2026, https://forms-legal.com/philippines/employment/hr-forms/paternity-leave-form-philippines.

BibTeX
@misc{formslegal-paternity-leave-form-philippines,
  author       = {{Forms Legal}},
  title        = {Paternity Leave Form (Philippines) (Philippines)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/philippines/employment/hr-forms/paternity-leave-form-philippines}},
  note         = {Free legal document template. Based on Labor Code of the Philippines (PD 442)}
}

Frequently Asked Questions

Based on Labor Code of the Philippines (PD 442) — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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